Emergency Management Program Manager
Boston Medical Center (BMC)
Patient Access Manager
Boston Medical Center (BMC)
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Lead a team of supervisors and approximately 100 FTEs within BMC’s Patient Service Center, coordinating all financial clearance activities.
- Manage three functions: Pre-registration, coordinating PCP Referrals, and obtaining Authorizations.
- Coordinate resources and activities of teams to ensure department meets productivity and quality goals; perform trend analysis and produce managerial and executive level reports.
- Collaborate with revenue cycle and clinic leadership to ensure patient access to BMC services, reduce denials, and maximize revenue.
- Ensure adherence to compliance and regulatory policies, coordination of benefits across primary payers, and managing people, processes and technology applicable to Revenue Cycle financial clearance activities.
- Implement Patient Access Services operations processes and provide system-wide oversight of services facilitating patient access to outpatient services.
- Ensure teams maintain throughput and productivity standards for financially clearing encounters between 14 days and 24 hours before the clinic date.
- Act as a resource for clinic staff regarding registration, insurance eligibility, authorizations, and documentation guidelines.
- Develop training programs related to Epic Registration and Insurance modules and activities.
- Coordinate with executive leadership to align revenue cycle access programs with Boston Medical Center’s strategic plan.
- Collaborate with other revenue cycle departments and clinic leaders to improve systems, minimize billing issues, prevent denials, increase cash, and support compliance.
- Partner with IT, Ambulatory Administration, Human Resources, Marketing, Quality and other departments; interface with external entities such as regulators, payers, vendors, other Healthcare institutions, patients and families.
- Conduct Denial Analysis to report on common themes and determine team effectiveness.
- Responsible for fiscal management of departmental operations; involved in interviewing, hiring decisions and training/orientation for staff.
Requirements
- Bachelor’s degree preferred, or equivalent combination of education, training and experience is required.
- Three years progressive responsible managerial roles of which 2 years should be in healthcare/hospital revenue cycle management or related areas.
- Knowledge of detailed Patient Access and Ambulatory patient interface processes
- Knowledge of Revenue Cycle flow and the interdependence of systems that affect revenue cycle outcomes
- Strong leadership, organizational and collaboration skills
- Strong ability to speak to and drive operation key metrics
- Excellent oral and written cross disciplinary communication skills to all levels of the organization
- Strong experience in evaluating results of programs based on data analysis
- Specific knowledge in managing and improving the performance of complex operational systems and revenue cycle functions across multiple platforms
- Systems thinker with demonstrated ability to automate operations and functions to achieve a high level of work output, performance, and efficiency in a decentralized organization
- Understanding of cause and effect; strong problem solving and Analytic skills
- Effective collaborative and proven process skills.
- A strong working knowledge of Microsoft Office products.
- BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine.
